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Print page for "Application for Chapter Affiliation with the Federation Nation of New Jersey"

B.A.S.S. Club Number   ________   Current Membership Year 200__  (see Club Requirements)    <Back

Club Name                      ________________________

Web Address        http:// ____________________. ___

Club Contact name         ________________________

Address                           ________________________

Town, State Zip               ________________________

Phone                              ________________________

Email                               ________________________

Meeting held @               ________________________        Explain if needed: >

Address                           ________________________

Town, State                     ________________________

Meeting time/date   week 1 2 3 4 Mon Tue Wed Thurs Fri Sat  @ __: ___ p.m.

Number of current B.A.S.S. Federation members  ____  (6 minimum)

Standard B.A.S.S. member format to be submitted at the time of the application and will not be considered for review until received. (check your Chapter member handbook) Please designate what member category they will participate in. (B) boater (R) rider. If expected to be considered a qualifier for this years divisional include a copy of your current BASS Federation card for each angler. This will due by December 31 the year prior to the affiliation request.

Format

Doe, Adam (B) (R)                 Filler, Justin (B) (R)             Thompson, William (B) (R)

Address                                Address                             Address

Town State Zip                      Town State Zip                    Town State Zip

Home Phone                         Home Phone                       Home Phone

Cell Phone                            Cell Phone                          Cell Phone

BASS Member Number          BASS Member Number        BASS Member Number

Submit a check with the required Club and per member fee.

(Kick-start Casting Kids is a Club donation and not a deciding factor for membership)

Membership fee                                  $50.00                      

Per member fee  ____x10.00  =       ______                       

Kick start Casting Kids (not required)        ______

Total submitted                                _______

Pending review and approval by the Board, notice of acceptance shall be sent to the Club contact.

Be sure to read all documentation regarding Club requirements, Tournament format, Tournament rules, and all other pertinent information before submitting this application. By submitting this application you are agreeing to abide by the rules set forth by the organization in accordance with B.A.S.S. and understand the requirements for membership. Any infraction deemed inappropriate by the Board of the Federation Nation of New Jersey shall be cause for dismissal. All privileges and association with the organization and B.A.S.S. would be terminated. You would have a right to request a meeting with the Board if such an action has been taken. After that, all decisions by the Board may go to the general membership and would be upheld and final. Specific information relating to such an action are included in our bylaws and can be viewed on our website @ http://FederationNationofNJ.org or supplied to a Club upon request. After acceptance a copy of the B.A.S.S. Federation Nation Club Letter of authorization of will be sent and a signed copy returned. A copy should be made and kept on file for your records.

Club Presidents Signature   ___________________

Print name                            ___________________

Dated                                        ____ / ____ / ______

                                                            (MM/DD/YYYY)

Submitted by (if not President) ___________________

Mail to: Federation Nation of New Jersey

             1800 Burnside Street,

             Toms River, NJ 08757-1618